Resource Search Results

Center of Excellence for Protected Health Information: FOCUS: PHI is a SAMHSA-funded source for clear and accurate information about patient privacy and confidentiality (2019). Resource Type: Other. Description: Clear and accurate information about confidentiality is important to ensure that patient privacy is protected and that privacy laws are not erroneously interpreted to prevent disclosure of patient information. Individuals living with mental illness or substance use disorders may not seek care without guarantees of confidentiality and privacy protections. Clarifying privacy protections and promoting communication of patient records is critical for improving patients’ access to care and quality of treatment once in care. The Center for Excellence for Protected Health information is supported by SAMHSA and includes key resources around privacy and confidentiality. More Details...

Social Determinants of Health for Public Housing Residents: Diabetes (2019). Resource Type: Publication. Description: Public housing residents are more likely to be affected by community violence and chronic medical conditions such as diabetes. The following issues brief provide descriptions of some of the most critical issues affecting this special population. More Details...

Treatment Models for Non-Opioid Substance Use Amongst Populations Experiencing Homelessness: Healing Hands (2019). Resource Type: Publication. Description: This edition of Healing Hands complements a previous issue of Healing Hands, “Non-Opioid Substance Use, Mental Health, and Homelessness,” which contained information about the health impacts and demographic variance of substances that are commonly used by people experiencing homelessness, as well as guidance on confronting and reducing social stigmas about substance use. This issue focuses a lens on treatment by first examining treatment models and pharmacological interventions for substance use disorder, followed by information about additional tools that may assist care providers in providing comprehensive client-centered, trauma-informed physical and mental health care and harm reduction interventions. More Details...

Promoting the Behavioral Health of LGBT Older Adults (2019). Resource Type: Publication. Description: In collaboration with the National Center for Equitable Care for Elders, The Fenway Institute has created clinical best practices for supporting the behavioral health of LGBTQ older adults. This brief discusses current research on aging LGBTQ people, their needs, and the role of health centers in providing medical and behavioral support to this population. More Details...

Non-Opioid Substance Use, Mental Health, & Homelessness: Healing Hands (2019). Resource Type: Publication. Description: This issue of "Healing Hands" highlights the relationship between non-opioid substance use disorder, mental health, and homelessness. Approximately half of people experiencing homelessness have diagnosable substance use disorders at some point in their lives and experience stigma, serious mental illness, and poor health outcomes as a result. More Details...

Suicide Risk Assessment and Management for LGBTQ People (2018). Resource Type: Publication. Description: This publication offers a brief summary of what is known about suicidal behavior and risk among LGBTQ people, followed by information and resources for health centers to help both young and old LGBTQ people get support and tap into internal and community resilience. More Details...

Stopping the Revolving Door: How Health Centers Can Serve Justice Involved Populations: Coordinating to meet the health needs of individuals leaving prison and jails. (2018). Resource Type: Publication. Description: Disproportionate numbers of individuals leaving correctional facilities suffer from substance use, medical and mental health challenges that go untreated when they return to the community. Health centers across the country are working to improve the lives of justice-involved patients. From coordinated discharge planning with jail and probation staff, to proactive post-release health center appointments and assistance with locating housing, health centers are uniquely able to serve this population. More Details...

Suicide and Homelessness: Data Trends in Suicide and Mental Health Among Homeless Populations (2018). Resource Type: Publication. Description: This fact sheet details common risk factors for suicidal behaviors, mental health and clinical utilization trends of HCH grantees reported in the 2016 Uniform Data System dataset, and circumstantial data reported in the National Violent Death Reporting System. More Details...

Behavioral Health Integration Compendium: Curated Guidance and Resources from Experienced Organizations, developed with Chiron Strategy Group (2018). Resource Type: Publication. Description: Many health centers collaborate with external behavioral health providers or provide co-located or integrated behavioral health services within their health center. Some of the most significant challenges are determining which data to share, how to store it within the Electronic Health Record, and how to use it within primary care. This compendium of literature and resources offers some guidance related to behavioral health data integration, complete with key health center considerations for each. Many health centers collaborate with external behavioral health providers or provide co-located or integrated behavioral health services within their health center. Some of the most significant challenges are determining which data to share, how to store it within the Electronic Health Record, and how to use it within primary care. This compendium of literature and resources offers some guidance related to behavioral health data integration, complete with key health center considerations for each. Click on each heading below to access the original pieces being profiled. Integrating Behavioral and Primary Care — Technology and Collaboration This article focuses on the challenges of integrating data between primary care and behavioral health. It discusses a number of concerns, and approaches that have been taken, including the benefits of developing structured data within the EHR. Health Center Takeaway: Patient consent for sharing sensitive health information can be integrated into the EHR, which will allow for greater information sharing while complying with Federal privacy expectations. Can technology shape the future of behavioral health? This article includes a number of different ways that technology plays a part in integrated behavioral health, highlighting: Adoption of telehealth as a means to augment care; Inclusion of behavioral health data in Health Information Exchanges, citing the experience of Arizona; and An example of an application being developed with NIH support that hopes to provide collaborative care tools to patients. Health Center Takeaway: Health centers are encouraged to investigate whether insurers will reimburse for telehealth and what is required to do so, to see if developing a telehealth program might augment the availability of behavioral health services for your patients. HITEQ has a number of resources related to telehealth. Integrated Behavioral Health Partners Three Case Studies on Behavioral Health Data Sharing Three California case studies where organizations shared behavioral health data.  The website includes details regarding mental health data, substance use data, consent, methods of sharing, and challenges. Health Center Takeaway: Use these examples of different approaches to consent and level of information sharing to foster conversation among your leadership on how to create greater data integration. Center for Health Care Strategies Integrating Physical and Behavioral Health Care in Medicaid Toolkit Section IV: Information Exchange CHCS has developed a rich resource for behavioral health integration.  This section focuses on information exchange, and has a number of helpful resources identified. Health Center Takeaway: The last two resources are integrated care plan templates; if you have an external behavioral health partner, consider how you might share data between the two organizations in a standardized format. Patient-Centered Primary Care Institute Behavioral Health Integration: Obstacles & Successes Lessons learned from this interview: Change the mindset from the bringing together of two services to truly integrating whole health Shift from historic care delivery methods to a focus on achieving better health outcomes Building trust with primary care providers is essential Health Center Takeaway: Determining what patients need will help guide the type of integration services your health center develops, which can include different approaches for different sites. SAMHSA’s Quick Start Guide to Behavioral Health Integration for Safety-Net Primary Care Providers This guide helps any health center think about where it is in the process of integrating behavioral health, with a number of embedded links for additional information. Key areas of Administration, Workforce, and Clinical Practice. Health Center Takeaway: Use this guide to identify barriers to a fully-developed program, and find resources to help overcome them. Zufall Health Center Integrated Behavioral Health and Primary Care Change Package Zufall Health Center partnered with a local behavioral health system to create an Integrated Behavioral Health system, using grant funding to help support the pilot. This collection of lessons learned focuses on: Leadership Commitment Clinical Information Systems and Measurable Improvement Integrated Care Delivery Clinical Decision Support Patient/Family Engagement Health Center Takeaway: Leadership must assess organizational capacity to collaborate, and then collect baseline data on health outcomes, including preventative screenings, ED visits, hospitalizations as some of the early steps. Implementing measurement and management of key clinical outcomes are critical next steps. NCQA Mainstreaming Behavioral Health Care NCQA has developed a Distinction in Behavioral Health Integration, which allows recognition of Patient Centered Medical Homes who have integrated care teams in place using evidence-based protocols and ongoing quality measurement and improvement. Health Center Takeaway: Many health centers have achieved recognition as a Patient Centered Medical Home PCMH or are along the way.  Aligning behavioral health integration work to earn this Distinction can help provide a roadmap for implementation of integration activities, and externally create validation for potential funders. How Intermountain Healthcare's Mental Health Integration is Improving Care Intermountain Healthcare is a large health system, with 22 hospitals and 180 clinics. It has been developing Mental Health Integration services for a number of years, with three key components: Their mental health assessment tool activates a team consultation workflow to determine which patients are referred. They designed an operational system in which mental health specialists and nurse care managers are included in the primary care staff, through full-time co-location or frequent rotation.They evaluate the program regularly to monitor patient outcomes, team effectiveness and the culture of healthcare delivery from the perspective of the patient and the care provider. Health Center Takeaway: Integrating behavioral health takes time. Intermountain Healthcare has created an efficient process to develop programs and they plan for two years to implement and become revenue-neutral. Health centers would benefit from a long-term approach with a commitment of upfront internal or external funding.   Deeper Reading If you are looking for more in-depth reading on the topic, visit the following links for longer articles. Electronic Health Record Challenges, Workarounds, and Solutions Observed in Practices Integrating Behavioral Health and Primary Care This Journal of the American Board of Family Medicine article describes the electronic health record EHR-related experiences of practices striving to integrate behavioral health and primary care using tailored, evidenced-based strategies from 2012 to 2014; and the challenges, workarounds and initial health information technology HIT solutions that emerged during implementation. Behavioral Health Information Network of Arizona: 2014 HIMSS HIE Community Roundtable This HIMSS presentation describes the design and implementation of a Health Information Exchange in Arizona that integrates behavioral health data and is 42 CFR Part 2 compliant.  Useful for any health center leadership involved in such a project with their affiliated Health Information Exchange. More Details...

Como Superé Mi Depresión - How I Over Came My Depression: A Digital Story about Depression (2017). Resource Type: Video. Description: This digital story explores the management and treatment options for those diagnosed with depression. It is a low-literacy tool for patients who need a clear, concise understanding of depression and what treatment options are available to help them manage their diagnosis. ​​This digital story is narrated in Spanish with English subtitles. More Details...

Understanding Stages of Change and Best Interventions for Substance Use Disorders (44341). Resource Type: Archived Webinar. Description: This webinar discusses how nurses, nurse practitioners, and other providers can support patients with substance use disorders. More Details...

The Evolving Role of Nurse Practitioners in Health Centers and Considerations for Provider Satisfaction (44348). Resource Type: Publication. Description: This publication discusses the evolving role of nurse practitioners and reccomendations to improve job satisfaction and prevent burnout. More Details...

Considerations for Serving Residents of Public Housing During Emergencies and Disasters: Staff and Patient Wellness (44174). Resource Type: Archived Webinar. Description: Hosted by the National Nurse-Led Care Consortium and the National Center for Health in Public Housing, this webinar discusses staff well-being and patient wellness during emergencies and disasters. This webinar provides health centers with guidance for developing tools and resources that enable the health center workforce and the patients they serve to navigate the practical and psychological after-effects of disaster events. More Details...

Community Violence and Mental Health: Supporting Patients and Building Resilience (44433). Resource Type: Archived Webinar. Description: This is part one of a three-part webinar series that discussed the impact of community violence on the mental health of patients and health center staff, and showcase health center-based violence prevention and intervention strategies. This session focused on the effects of community violence on patient mental health, and strategies to support staff and build resilience. More Details...

Community Violence and Mental Health: Supporting Health Center Staff and Building Resilience (44529). Resource Type: Archived Webinar. Description: Community violence is an urgent public health issue and an important social determinant of health. Experiencing or witnessing community violence can impact one’s physical, psychological, and emotional health. Community health centers can play a unique role in identifying, treating, and preventing violence exposure. More Details...

Chronic Stress, Housing, and Health: Patient Experiences and Strategies for Comprehensive Care (44727). Resource Type: Archived Webinar. Description: This webinar explores the intersections of chronic stress, housing, and health and featured a panel of experts offering a variety of perspectives, including (1) the patient perspective on the realities of residing in public housing and how it impacts health, (2) research on the intersections of health and housing, and (3) trauma-informed care in community and patient engagement. More Details...

Building Resiliency: Mindful Stress Management (44693). Resource Type: Archived Webinar. Description: This is part three of three Mini Resilience Skill-Building Sessions that took place in 2022. At each drop-in session, an empirically-supported mindfulness and resilience-building strategy was introduced by an expert in the field. In this session, participants had the opportunity to learn from Rebecca Bromberg, MBA, RYT, Principal Consultant and Founder of Sole Clarity, who discussed how to manage and transcend stress. Participants also practiced an activity designed to support workforce well-being. Additional resources and practices were also provided during the session More Details...

Building Resiliency: Developing a Mindfulness Practice (44574). Resource Type: Archived Webinar. Description: This is part one of three Mini Resilience Skill-Building Sessions that took place in 2022. At each drop-in session, an empirically-supported mindfulness and resilience-building strategy was introduced by an expert in the field. In this session, participants had the opportunity to learn from Aleezé Moss, PhD (Associate Director, Myrna Brind Center for Mindfulness) about how to develop a mindfulness practice. Participants also practiced an activity designed to support wellbeing. Additional resources and practices were also provided during the session. More Details...

Building Resiliency: Centering Mindful Self-Compassion (44630). Resource Type: Archived Webinar. Description: This is part two of three Mini Resilience Skill-Building Sessions that took place in 2022. At each drop-in session, an empirically-supported mindfulness and resilience-building strategy was introduced by an expert in the field. In this session, participants had the opportunity to learn from Cassondra Graff, M.S., LCSW (Senior Teacher of MSC and MBSR at the University of California at San Diego Center for Mindfulness) about how to practice mindful self-compassion in your daily life. Participants also practiced in an activity designed to support wellbeing. Additional resources and practices were also provided during the session. More Details...

Addressing the Needs of Nurses of Color: COVID-19 and the Fight for Health Equity: COVID-19 and the Fight for Health Equity (44428). Resource Type: Archived Webinar. Description: This webinar examined the COVID-19 pandemic’s impact on front-line nurses of color and the critical need to support the healthcare workforce now and long term. This webinar is part of NNCC's Nurse-Led Forum for Vaccine Confidence series. More Details...